CPT code 44314: Ileostomy revision2026 Medicare rate & RVUs in Minnesota
Reports operative reconstruction of an existing ileostomy when substantial revision, such as bowel resection and re-anastomosis, is required.
CMS doesn’t publish an office rate for 44314 in Minnesota.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 44314 covers
A complicated ileostomy revision reconstructs an existing ileal stoma when a limited local repair is not sufficient. The surgeon may remove a diseased or unusable segment of bowel and reconnect bowel as part of refashioning the stoma. Clinical problems prompting revision can include stenosis, retraction, or prolapse when operative reconstruction is needed. General or colorectal surgeons typically perform the operation in a hospital operating room.
Report this code for the more extensive revision, not for creation of a new ileostomy or a simple revision. The operative report should identify the problem with the existing stoma and describe the reconstruction, including any bowel resection or re-anastomosis. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure case, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this single ileostomy revision. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
44314 in Minnesota
| Payment locality | Office | Facility |
|---|---|---|
| Minnesota | Unavailable | $864.62 |
How the 44314 rate is calculated
Each of 44314’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 44314
RVUs × geographic indexes × conversion factor
Work16.32
16.32 RVUs× 1.000 GPCI
Practice expense8.33
8.33 RVUs× 1.000 GPCI
Malpractice3.36
3.36 RVUs× 1.000 GPCI
Adjusted RVUs
28.0100
Conversion factor
$33.4009
Medicare rate
$935.56
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 44314
44314 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44314
Ileostomy revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 44314
Ileostomy revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44314 without 51 · national facility
$935.56
Ileostomy revision
44314-51 · Second procedure: 50%
$467.78
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
44314 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 44312Ileostomy revision
- 44312 is the simpler ileostomy revision. Choose 44314 when the operative work is a complicated reconstruction, such as with bowel resection and re-anastomosis.
- 44310Small-bowel stoma
- 44310 is for forming an ileostomy or jejunostomy. Code 44314 revises an ileostomy that already exists.
- 44340Colostomy revision
- 44340 concerns revision of a colostomy. Code 44314 is for revision of an ileostomy.
- 44316Continent ileostomy
- 44316 is for creating a continent ileostomy, not revising an existing ileostomy.
44314 billing questions
How does this differ from 44312?
Use 44314 for a complicated reconstruction, such as one involving bowel resection and re-anastomosis. Code 44312 describes a simpler ileostomy revision.
Can this be reported for creating a new ileostomy?
No. This code concerns revision of an existing ileostomy; creation of an ileostomy is represented by a different code, such as 44310.
What documentation supports the complicated revision?
Document the existing stoma problem and the operative work used to reconstruct it. Describe bowel resection or re-anastomosis when performed.
Does the service have a 90-day global period?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used?
No. Modifier 50 is not appropriate for this ileostomy revision.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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